Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,017.00 / $1,892.00 / $5,389.00	Facility		$1,017.00	$1,892.00	$5,389.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $974.73 / $1,177.71 / $1,787.34	Professional		$974.73	$1,177.71	$1,787.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,138.27 / $10,246.24 / $22,348.35	Facility		$3,138.27	$10,246.24	$22,348.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,110.82 / $1,574.34 / $1,722.93	Professional		$1,110.82	$1,574.34	$1,722.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $620.00 / $643.00	Facility		$620.00	$620.00	$643.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $914.79 / $1,289.22 / $1,884.25	Professional		$914.79	$1,289.22	$1,884.25
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $879.33 / $1,475.17 / $4,289.71	Professional		$879.33	$1,475.17	$4,289.71
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $1,172.74 / $1,185.56 / $1,289.22	Professional		$1,172.74	$1,185.56	$1,289.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $1,457.81	Professional		$32.34	$32.34	$1,457.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,080.00 / $3,951.00 / $6,625.00	Facility		$1,080.00	$3,951.00	$6,625.00
United Facility/Professional Professional Modifier Low / Median / High Price $902.78 / $1,209.58 / $2,058.04	Professional		$902.78	$1,209.58	$2,058.04